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Privia Medical Group, LLC — NPI 1023715315, Rockville, MD | NPI Central

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NPI 1023715315

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Privia Medical Group, LLC

NPI 1023715315 · Pain Medicine Physician · Rockville, MD

Provider details

NPI number: 1023715315
Entity type: Organization
Primary specialty: Pain Medicine PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Susan Porter, Payer Enrollment Manager(615) 500-2199

Specialties & taxonomies

Pain Medicine PhysicianPrimary208VP0000X
Allopathic & Osteopathic Physicians

Practice location

121 Congressional Ln Ste 403

Rockville, MD 20852-1542

Phone: (240) 630-2188

Approximate (ZIP-level) locationGet directions

More MD providers

Mailing address

950 N Glebe Rd Ste 700

Arlington, VA 22203-4173

Other names (DBA / former)

Doing business as: Neurology, Headache & Pain Institute

Registry dates

Enumerated: 2023-02-08
Last updated: 2023-02-08
Certified: 2023-02-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.